A rare case of spontaneous spinal epidural hematoma in a 43‐year‐old man
Abstract Spontaneous spinal epidural hematoma is a rare neurosurgical condition that is often difficult to diagnose in the emergency department and can cause permanent neurological deficits if diagnosis is delayed or incorrect. We present the case of a 43‐year‐old man who was initially investigated...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2021-08-01
|
| Series: | Journal of the American College of Emergency Physicians Open |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/emp2.12532 |
| _version_ | 1818585120472301568 |
|---|---|
| author | Shiraz Siddiq Ali Natasha Paramanathan Peadar Gilligan |
| author_facet | Shiraz Siddiq Ali Natasha Paramanathan Peadar Gilligan |
| author_sort | Shiraz Siddiq Ali |
| collection | DOAJ |
| description | Abstract Spontaneous spinal epidural hematoma is a rare neurosurgical condition that is often difficult to diagnose in the emergency department and can cause permanent neurological deficits if diagnosis is delayed or incorrect. We present the case of a 43‐year‐old man who was initially investigated for cardiac events, suspected posterior circulation stroke, or arterial dissection. All investigations were normal, which led us to perform magnetic resonance imaging of the brain, neck, and cervicothoracic spine, which revealed spontaneous spinal epidural hematoma. Publication of this case raises awareness of this rare neurosurgical emergency and the importance of differential diagnosis to avoid misdiagnosis in patients presenting with sudden‐onset cervicothoracic back pain radiating to the upper limbs bilaterally with neurological deficit and a history of discectomy or receiving anticoagulants. Our study highlights the importance of early discussions with the consultant and specialty involvement in such cases. |
| first_indexed | 2024-12-16T08:32:01Z |
| format | Article |
| id | doaj.art-4c0b316e385c4748999d6e0a429baad7 |
| institution | Directory Open Access Journal |
| issn | 2688-1152 |
| language | English |
| last_indexed | 2024-12-16T08:32:01Z |
| publishDate | 2021-08-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of the American College of Emergency Physicians Open |
| spelling | doaj.art-4c0b316e385c4748999d6e0a429baad72022-12-21T22:37:51ZengWileyJournal of the American College of Emergency Physicians Open2688-11522021-08-0124n/an/a10.1002/emp2.12532A rare case of spontaneous spinal epidural hematoma in a 43‐year‐old manShiraz Siddiq Ali0Natasha Paramanathan1Peadar Gilligan2Department of Emergency Medicine Beaumont Hospital Dublin IrelandDepartment of Emergency Medicine Beaumont Hospital Dublin IrelandDepartment of Emergency Medicine Beaumont Hospital Dublin IrelandAbstract Spontaneous spinal epidural hematoma is a rare neurosurgical condition that is often difficult to diagnose in the emergency department and can cause permanent neurological deficits if diagnosis is delayed or incorrect. We present the case of a 43‐year‐old man who was initially investigated for cardiac events, suspected posterior circulation stroke, or arterial dissection. All investigations were normal, which led us to perform magnetic resonance imaging of the brain, neck, and cervicothoracic spine, which revealed spontaneous spinal epidural hematoma. Publication of this case raises awareness of this rare neurosurgical emergency and the importance of differential diagnosis to avoid misdiagnosis in patients presenting with sudden‐onset cervicothoracic back pain radiating to the upper limbs bilaterally with neurological deficit and a history of discectomy or receiving anticoagulants. Our study highlights the importance of early discussions with the consultant and specialty involvement in such cases.https://doi.org/10.1002/emp2.12532back painepidural hematomahemorrhageneurological deficitspinespontaneous spinal epidural hematoma |
| spellingShingle | Shiraz Siddiq Ali Natasha Paramanathan Peadar Gilligan A rare case of spontaneous spinal epidural hematoma in a 43‐year‐old man Journal of the American College of Emergency Physicians Open back pain epidural hematoma hemorrhage neurological deficit spine spontaneous spinal epidural hematoma |
| title | A rare case of spontaneous spinal epidural hematoma in a 43‐year‐old man |
| title_full | A rare case of spontaneous spinal epidural hematoma in a 43‐year‐old man |
| title_fullStr | A rare case of spontaneous spinal epidural hematoma in a 43‐year‐old man |
| title_full_unstemmed | A rare case of spontaneous spinal epidural hematoma in a 43‐year‐old man |
| title_short | A rare case of spontaneous spinal epidural hematoma in a 43‐year‐old man |
| title_sort | rare case of spontaneous spinal epidural hematoma in a 43 year old man |
| topic | back pain epidural hematoma hemorrhage neurological deficit spine spontaneous spinal epidural hematoma |
| url | https://doi.org/10.1002/emp2.12532 |
| work_keys_str_mv | AT shirazsiddiqali ararecaseofspontaneousspinalepiduralhematomaina43yearoldman AT natashaparamanathan ararecaseofspontaneousspinalepiduralhematomaina43yearoldman AT peadargilligan ararecaseofspontaneousspinalepiduralhematomaina43yearoldman AT shirazsiddiqali rarecaseofspontaneousspinalepiduralhematomaina43yearoldman AT natashaparamanathan rarecaseofspontaneousspinalepiduralhematomaina43yearoldman AT peadargilligan rarecaseofspontaneousspinalepiduralhematomaina43yearoldman |